Beverly Hills Botox and Dysport

Botox and Dysport have become the most commonly performed non-surgical aesthetic procedures. Botox & Dysport work by relaxing and reducing the activity of muscles, hence improving the appearance of wrinkles. They are also used for a variety of other conditions such as bell’s palsy, hyperhidrosis, migraine headaches, and masseter hypertrophy.

Although the use of Dysport and Botox have significantly been trivialized by the media; technical and aesthetic considerations are paramount to achieving exceptional outcome. Dr. Azizzadeh, a graduate of Harvard Medical School, is one of the leading facial rejuvenation experts in the use of Botox, Dysport and injectable fillers.

Dr. Azizzadeh performs all patient injectables himself. Botox and Dysport injections are personalized and customized to each individual rather than the typical cookie-cutter fashion. Dr. Azizzadeh first performs an in-depth consultation and uses a three-dimensional imaging system to create a aesthetic plan that would give the best possible outcomes. No two patients are treated the same as the location and amount of Botox needs to be determined based on the patient’s aging process as well as muscle movements. This is where unfortunately many Botox and Dypsort treatments go astray if performed in the hands of the untrained practitioner or in an unprofessional “drive-thru” setting.

Although, Botox and Dysport are excellent products as stand-alone procedures, there are times that injectable fillers such as Restylane, Radiesse, Juvederm, and Sculptra may need to be utilized to maximize outcome. Furthermore, skin care, peels, fractionated lasers and tightening devices such as Ulthera may be necessary to address aging processes that are not treated with Botox alone.

Botox Cosmetic is a purified version of a natural protein, Clostridium botulinum. Administered in very small doses, it can relax and smooth deep furrows and lines in the face.

How does Botox work?

Botox Cosmetic works by reducing muscle contractions in the treated area, causing even deep lines and forehead furrows to become smoother and less prominent.

Learn More About the CENTER’s Botox Expert Nurse Jodi

How Botox is administered

Botox is administered as a series of small subcutaneous injections in the forehead area. In most cases, no anesthetic is required, although the area may be numbed with an icepack or a topical anesthetic if you are particularly sensitive. The procedure itself takes only a matter of minutes, after which you will be able to continue your normal activities. In some cases, you may feel a slight tingling or soreness in the area, for a short time, but there should be no serious pain or other side effects. The effects of your Botox Cosmetic treatment can be expected to last up to four months, and treatment can be repeated as necessary as the effects wear off.

Masseter Hypertrophy

Masseter hypertrophy is one of the leading causes of jaw fullness, as often seen in Asian patients. Botox injections can be used to treat and reduce the fullness of the area. Botox will temporarily reduce muscle thickness without changing the bone structure of the jaws. Without changing the ethnic prominence of the facial features, the angle of the jaw line looks natural and fitting to the face.

Scar Limitation

Recent experience with Botox appears to help lacerations with less visible scarring. Scars from recent wounds treated with Botox were rated better in appearance than scars that were healing without. Depending of the severity of trauma that caused any particular scar, higher doses of Botox and / or more treatments scheduled closer together improve the increased healed look of the scar.

Facial Paralysis

For years Botox Medical has been used as a non-surgical treatment for uncontrollable facial spasm and facial paralysis, sometimes caused by Bell’s Palsy, and asymmetry also caused by paralysis in the face. Limitation of simultaneous facial movements (synkineses) can also be successfully balanced by injecting muscle relaxers, such as Botox. Dr. Azizzadeh utilizes Botox to create symmetry in the face and reduce the activity of synkinesis.

Rhytids (Wrinkles)

Botox is targeted directly at the facial muscles that are causing dynamic wrinkles to form. The Botox injection blocks transmission from the nerve ending to the muscle. As a result, the muscle relaxes, significantly reducing the appearance of wrinkles and muscles on the skin above that muscle. This blocking effect on the nerves usually lasts an average of three to six months, at which time the muscle regains movement and wrinkles reappear.

Dynamic Wrinkles

We are born with dynamic wrinkles, which are associated with the muscles we use for facial expression. As we continuously use our facial muscles to smile, laugh and squint, mild wrinkles appear when we are young, but they become deeper and more noticeable as we grow older. The most common areas where we develop dynamic wrinkles are around the lips, the corners of the eyelids (where the wrinkles are known as crows’ feet), between the eyebrows, and on the forehead. These wrinkles often make people look older and more tired than they actually are. Botox can be used to treat these dynamic wrinkles and make them less noticeable.

Brows

Management of the aging brow and forehead has recently evolved based on available innovative technologies. Likewise, procedure-specific indications have changed based on collective surgical experiences. No longer is the approach based solely on hair pattern or degree of brow ptosis (dropping eyelid). Patients require varying combinations of brow elevation (prior to blepharoplasty), correction of brow asymmetries, and hairline-preserving forehead elevation.

Patients suffering from these disorders have had very satisfactory results with injecting Botox. In a retrospective clinical study, the outcome was evaluated by clinical examination and chemical parameters. The results showed that clear blocking of secretion in the treated glands was demonstrated. Possible side effects of the treatment were not observed. If you think you have hyperhydrosis, visit Allergan’s Botox site for a self-assessment.

Migraines

The use of Botox to treat wrinkles led to the accidental discovery of its beneficial effect on headaches. Today, scientific studies and our experience confirm the fact that Botox injections can indeed relieve migraine, tension and even daily headaches. The effect of a single Botox treatment lasts on average 3 months and at times longer. The procedure takes 5-10 minutes and is accompanied by minimal discomfort. Approximately 10-20 sites are injected at each session. The number and location of the injection sites depend on pain distribution. Spasm of neck muscles often contributes to migraines and other headaches and neck pain. Injecting these muscles with Botox usually improves treatment results. Click here to learn more about Botox and Dysport for migraines.

Dysport

Dysport is a wrinkle relaxer that is very similar to Botox Cosmetic. The desired effects are the same, but there is a small difference in the dosing units so often Dysport can be a less expensive procedure. Most patients cannot tell a difference between the two, however some patients report that Dysport may be faster-acting (ie kick in faster), the diffusion/spread may be better and thus more widely effective for forehead wrinkles, and some even believe Dysport will last longer.

Pre-Treatment Guidelines before Botox or Dysport

Medications to Discontinue 7 Days Before Treatment to Avoid Bruising

Aspirin

Ibuprofen (Motrin, Advil, Aleve)

St. John’s Wort

Omega 3 fatty acids

Vitamin E

Ginger

Ginko

Bilboa

Ginseng

Cold Sores: If you have a history of cold sores, ask us about pre-care instructions.

Post-Treatment Guidelines before Botox or Dysport

Side Effects

The intensity and duration of your side effects depends on the treatment aggressiveness and your individual healing characteristics, but usually can last up to a week after treatment.

Stinging: Some patients develop stinging at the injection site for 10-15 minutes following treatment

Swelling, Tenderness: Some patients experience some swelling or tenderness at the injection site. It should resolve on its own within a few days.

Redness: You may apply makeup immediately after treatment to minimize the redness.

After Botox or Dysport Treatment Skin Care

Avoid Excessive Sun and Heat: Until any initial swelling and redness has resolved.. This includes aggressive exercise.

Sunscreen: Proper and frequent application of sunscreen is always important. The sunscreen should offer broadband protection (UVA and UVB) and have a sun protection factor (SPF) of 30 or more. You should apply sunscreen 20 minutes before going outside, and again, immediately before. After that, reapply your sunscreen every 2 hours. If direct sun exposure is necessary, wear a hat and clothing that covers the treated area. Use this regimen during the healing period and always. For more skincare tips, check out our blog.

Learn more about Botox and Dysport

Botox is one of the most popular non-surgical treatments being performed today, but it is important to have Botox performed by an experienced cosmetic surgeon, not just any one. Contact Dr. Azizzadeh today if you live in the Beverly Hills or Los Angeles, California area and would like to schedule an initial Botox consultation.

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The CENTER for Advanced Facial Plastic Surgery's site provides information about facial plastic surgery procedures and is not to be taken as medical advice. As a destination for patients from around the world, the CENTER is located in the Los Angeles & Beverly Hills, California area.

The information available on this web site is provided for informational purposes only.This information is not intended to replace a medical consultation where a physician's judgment may advise you about specific disorders, conditions and or treatment options. We hope the information will be useful for you to become more educated about your health care and plastic surgery decisions.